Provider Demographics
NPI:1578832481
Name:ARNESON, WENDY CAROL (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:CAROL
Last Name:ARNESON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 HUNTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-1095
Mailing Address - Country:US
Mailing Address - Phone:314-402-8508
Mailing Address - Fax:
Practice Address - Street 1:34 HUNTWOOD CT
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-1095
Practice Address - Country:US
Practice Address - Phone:314-402-8508
Practice Address - Fax:314-402-8508
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.007375101YP2500X
IL180.008260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional